Mountain Cap of W

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOUNTAIN CAP OF W

Practice address

105 Jerry Burton Dr
Sutton, WV 26601-9767

Phone

(304) 765-7738

Fax

(304) 765-7308

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lori A Walker

Title

Director

Phone

(304) 765-7738

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicaid Waiver Other name

Tax ID family

Medicaid Waiver2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mountain Cap of WV Inc a CDC

  • Home Health Agency
  • Buckhannon, WV
  • NPI 1043397359
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639292873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JERRY BURTON DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019767",
            "telephone_number": "304-765-7738",
            "fax_number": "304-765-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JERRY BURTON DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019767",
            "telephone_number": "304-765-7738",
            "fax_number": "304-765-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CAP OF W",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-765-7738",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031226000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicaid Waiver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Belle Morrison
• Paula Morrison
• Wilda Jean Morrison
• Cortney Moss
• Tiffany Moss
• Kevin Mark Moyers
• Crisetta Mullins
• Melissa Sue Murphy
• Erica Grace Neal
• Laney Newhouse

• Home Health Agency in Sutton, WV
• Providers in Sutton, WV by specialty
• Home Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.